| NPI | 1811499064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CARTER President 413-441-8765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: MA 76190) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: MA 76190) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |